Credentialing Team Manager

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Provide timely and precise credentialing reports along with compliance status updates to management.

• Create credentialing strategies informed by data analysis, regulatory demands, and operational insights.

• Oversee and ensure adherence to credentialing quality and compliance standards.

• Ensure provider satisfaction and meet regulatory requirements.

• Offer coaching and constructive feedback to credentialing personnel.

• Establish and sustain communication with providers, payers, and internal stakeholders.

• Identify credentialing requirements and resolve verification challenges.

• Supervise credentialing workflows and application queues in accordance with established timelines and targets.

• Report any delays or compliance deficiencies and take appropriate measures.

• Conduct root cause analysis on credentialing issues and implement corrective measures.

• Lead initiatives aimed at improving credentialing turnaround times.

• Ensure compliance with regulatory and payer requirements.

• Achieve credential maintenance and renewal objectives.

• Engage in staff development and ongoing process enhancements.

⛳️ Requirements

• Graduate/post-graduate with CPC/COC/CCS/CCS-P Certification from AAPC/AHIMA.

• At least 6-7 years of hands-on experience in medical coding and credentialing.

• Minimum of 2 years in a leadership position managing a team of credentialing specialists.

• Capacity to thrive in a fast-paced work environment.

• Proficient in MS Office applications, including Word, Excel, and PowerPoint.

• Ability to adapt quickly and seamlessly to shifting priorities and conditions.

• Skill in interpreting data, identifying trends, and proposing enhancements.

• Strong analytical capabilities.

• Proactive in building trust and professional relationships with colleagues and team members.

• Team-oriented mindset.

• Excellent verbal and written communication abilities.

• Proficient in delivering clear, constructive, and professional communication.

🏝️ Benefits

• Employees have the option to work remotely.

• Confidential management of employee information in accordance with EEO guidelines.

• Equal employment opportunity protections are provided.

• Participation in a voluntary and confidential Administrative EEO record process, which does not influence employment decisions.